Excel Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y006927 Issued in AZ

Legal business name

EXCEL PHARMACY SERVICES LLC

Doing business as

Excel Pharmacy

Practice address

354 W Lancaster Ave Ste 120
Haverford, PA 19041-1300

Phone

(484) 270-6300

Fax

(484) 270-6303

NPI assigned

May 20, 2016

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Young Hoon GimNPI 1427490655

Title

Pharmacist in Charge

Phone

(484) 270-6300

Specialties & licenses 12

Addresses

Other identifiers 1

Other names 1

• Excel Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Hoon Gim, PHARM D

  • Pharmacist
  • Havertown, PA
  • NPI 1427490655
  NPD Authorized official
• Melissa Diebold, PHARMD

  • Pharmacist
  • Haverford, PA
  • NPI 1942007265
  NPD
• Rose Niklewicz

  • Pharmacist
  • Conshohocken, PA
  • NPI 1447609334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1144677030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 W LANCASTER AVE STE 120",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411300",
            "telephone_number": "484-270-6300",
            "fax_number": "484-270-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W LANCASTER AVE STE 120",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411300",
            "telephone_number": "484-270-6300",
            "fax_number": "484-270-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "GIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "484-270-6300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "DE",
            "license": "A9-0001878",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022644850",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RO00146200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "1051",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020104",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PA2143",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2016025066",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482656",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "42933MS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "1762-43",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MO0561042",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excel Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven M Eisen, M.D.
• Jillian Elefante
• Jennifer Eng-Thakker, LCSW
• Kelsey Engman, LPC
• Tia Marie Esplin, PT
• Mary L Fair, LCSW
• Taylor Christine Farr, LPC
• Nanette Farrell, MS, NCC, LPC
• Stephen L Fedder, M.D.
• Kristina S Ferrari, M.S.ED.

• Community/Retail Pharmacy in Haverford, PA
• Providers in Haverford, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.